Abnormality of skeletal maturation Dysharmonic skeletal maturation 2010-05-31T01:16:51Z Dysharmonic skeletal maturation Different levels of maturation of different bones. Dysharmonic bone age Bone age is usually determined by using a radiograph of the left hand to compare with images in the Greulich-Pyle atlas and approximating the closest skeletal age. If the skeletal ages of individuals bones are different, i.e., different bones have (clearly) different levels of maturation, then it is referred to as dysharmonic skeletal maturation. HP:0200000 UMLS:C4020918